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Should athletes return to activity after cryotherapy?

Kimberly A Pritchard1, Susan A Saliba

  • 1University of Virginia, Charlottesville.

Journal of Athletic Training
|June 4, 2013
PubMed
Summary
This summary is machine-generated.

Local cooling (cryotherapy) may negatively impact athletic performance immediately after treatment. Athletes should consider progressive warm-ups or shorter cooling durations to mitigate adverse effects on strength, endurance, and agility.

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Area of Science:

  • Sports Medicine
  • Exercise Physiology
  • Rehabilitation Science

Background:

  • Local cooling (cryotherapy) is frequently used in sports for recovery and injury management.
  • The impact of cryotherapy on immediate functional performance in athletes remains a subject of investigation.

Purpose of the Study:

  • To systematically review the effect of local tissue cooling on immediate functional performance outcomes in a sport context.
  • To synthesize evidence from randomized controlled trials and crossover studies on cryotherapy's impact on athletic capabilities.

Main Methods:

  • A systematic literature search was conducted across MEDLINE, Cochrane Central Register of Controlled Trials, and EMBASE up to April 2011.
  • Included studies were randomized controlled trials and crossover studies in English, measuring functional performance before and after local cooling interventions.
  • Studies using whole-body cryotherapy or cold-water immersion above the waist, and those measuring evoked muscle contraction, were excluded.

Main Results:

  • Thirty-five studies involving 665 participants were included, assessing outcomes like muscle strength, power, vertical jump, endurance, agility, speed, and dexterity.
  • Cryotherapy generally reduced immediate muscle strength and whole-body exercise performance (vertical jump, sprint, agility), and dexterity.
  • Evidence regarding muscle endurance was conflicting, with some studies showing increases and others decreases post-cryotherapy.

Conclusions:

  • Available evidence suggests that immediate return to play after cryotherapy may adversely affect athletic performance.
  • Variability in cooling protocols (time, temperature, mode) complicates definitive conclusions.
  • Short-duration cooling or progressive warm-ups are recommended to prevent performance decrements when athletes return to activity quickly.